Provider Demographics
NPI:1710150495
Name:MOSHE E HIRTH MD PA
Entity Type:Organization
Organization Name:MOSHE E HIRTH MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOSHE
Authorized Official - Middle Name:
Authorized Official - Last Name:HIRTH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-638-9533
Mailing Address - Street 1:6646 ATLANTIC AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-1627
Mailing Address - Country:US
Mailing Address - Phone:561-638-9533
Mailing Address - Fax:561-638-7760
Practice Address - Street 1:6646 ATLANTIC AVE STE 100
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-1627
Practice Address - Country:US
Practice Address - Phone:561-638-9533
Practice Address - Fax:561-638-7760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-02
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME64286207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002083251OtherAPWU
FLM00000022576OtherBLUE CROSS WESTERN NY
FL10659976120OtherHUMANA
FL29-70224OtherUNITED HEALTHCARE
FL9983036OtherUNIVERSAL HEALTHCARE
FL5897OtherNEIGHBORHOOD HEALTH PARTNERSHIP
FL100012481OtherRAILROAD MEDICARE
FL28447OtherBLUE CROSS BLUE SHIELD OF FLA
FL2984313OtherAARP - UHC
FL0005688748OtherAETNA
FL2499888OtherGHI
FL100012481OtherRAILROAD MEDICARE